Characteristics of Highly Rated Internal Medicine Attendings Before and After the 2004 Work-Hour Restrictions.

Abstract:

OBJECTIVES:To describe the characteristics of top-rated Internal Medicine attendings and whether they changed after implementation of the 2004 work-hour restrictions. METHODS:Mixed methods study of resident ratings of medicine attendings (Period 1: 1994-1996, n = 250 and Period 2: 2007-2009, n = 152). Residents evaluated 17 attending characteristics. The top 25% of "overall" ratings were classified as "highly rated." Two free-text questions included "What was your attending's best characteristic?" and "How could your attending best improve?" and were coded in duplicate, using grounded qualitative methods. RESULTS:There were no differences in the characteristics of highly rated attendings in the two time periods. Characteristics associated with being a top-rated attending included enthusiasm (odds ratio [OR]: 5.69, 2.78-11.67), balanced teaching style (OR: 3.63, 1.64-8.02), promoting independent thinking (OR: 2.90, 0.96-8.74), fund of knowledge (OR: 2.73, 1.13-6.58), and time management (OR: 1.78, 1.14-2.80). Among the 1,410 utterances, valued attending attributes included helpfulness, promoting independent thinking, and having strong medical knowledge. CONCLUSIONS:The characteristics valued by residents in attendings did not change over time despite a major structural change in work hours and patterns of teaching. These valued characteristics continue to be a strong general fund of knowledge, enthusiasm for teaching, and balance between didactic and bedside approaches.

journal_name

Mil Med

journal_title

Military medicine

authors

Mallory R,Jackson JL,Mondragon D,Hatzigeorgiou C,DeZee KJ,Greenburg D,O'Malley PG

doi

10.7205/MILMED-D-14-00445

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

76-81

issue

1

eissn

0026-4075

issn

1930-613X

journal_volume

181

pub_type

杂志文章
  • Rubella outbreak, Fort Bragg, North Carolina, 1995: a clash of two preventive strategies.

    abstract::An outbreak of rubella occurred among visiting German troops involved in a combined military exercise at Fort Bragg, North Carolina, in April 1995. Public health and military operational concerns centered on the significant contact the German soldiers had had with host battalion dependents and the impact of the outbre...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Craig SC,Broughton G 2nd,Bean J,McKee KT Jr

    更新日期:1999-09-01 00:00:00

  • Effects of Combat Deployment on Anthropometrics and Physiological Status of U.S. Army Special Operations Forces Soldiers.

    abstract:INTRODUCTION:U.S. Army Special Operations Forces (SOF) soldiers deploy frequently and conduct military operations through special warfare and surgical strike capabilities. Tasks required to execute these capabilities may induce physical and mental stress and have the potential to degrade soldier physiological status. N...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00022

    authors: Farina EK,Taylor JC,Means GE,Williams KW,Murphy NE,Margolis LM,Pasiakos SM,Lieberman HR,McClung JP

    更新日期:2017-03-01 00:00:00

  • The effect of threshold amounts for reporting malpractice payments to the National Practitioner Data Bank: analysis using the closed claims data base of the Office of the Assistant Secretary of Defense (Health Affairs).

    abstract::The study determines the extent to which payment thresholds for reporting malpractice claims to the National Practitioner Data Bank identifies substandard health care delivery in the Department of Defense. Relevant data were available on 2,291 of 2,576 medical malpractice claims reported to the closed medical malpract...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Metter EJ,Granville RL,Kussman MJ

    更新日期:1997-04-01 00:00:00

  • Investigation of Self-Reported Musculoskeletal Injuries on Post-Deployment Health Assessment Forms for Aeromedical Evacuation Personnel.

    abstract::Musculoskeletal injuries (MSIs) are a concern for the military community because of medical expenses, possible disability, and separation from the military. This study investigated the prevalence of MSIs in deployed aeromedical evacuation (AE) populations reported on Post-Deployment Health Assessment (PDHA) forms. A s...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00606

    authors: Fouts BL,Serres JL,Dukes SF,Maupin GM,Wade ME,Pohlman DM

    更新日期:2015-12-01 00:00:00

  • Perioperative Gabapentin Improves Patient-Centered Outcomes After Inguinal Hernia Repair.

    abstract:INTRODUCTION:Over 5,300 inguinal hernia repairs (IHR) were performed in the Military Health System in 2015. Chronic pain can be a debilitating complication, occurring in up to 34% of patients after IHR and impacts mission readiness. Gabapentin has been shown to be effective for postoperative analgesia in a variety of o...

    journal_title:Military medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.7205/MILMED-D-17-00107

    authors: Quail J,Spence D,Hannon M

    更新日期:2017-11-01 00:00:00

  • Operational impact of tongue piercing on French military pilots during overseas deployments: a case report.

    abstract::Piercing in general and particularly tongue piercing is gaining popularity in the Western world. The French army and so the French air force are concerned by this phenomenon. A case report of a pilot suffering from dental pain with operational consequences due to a dental fracture during Operation Trident (Kosovo) is ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-10-00149

    authors: Gunepin M,Derache F,Audoual T

    更新日期:2010-10-01 00:00:00

  • Shortening and angulation for soft-tissue reconstruction of extremity wounds in a combat support hospital.

    abstract:BACKGROUND:Bone and soft-tissue loss are common extremity injuries sustained in current military conflicts. Selected host national patients had their definitive orthopedic care performed at our combat support hospital. Soft-tissue reconstruction can be a challenging task in this environment. There are several situation...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Hsu JR,Beltran MJ,Skeletal Trauma Research Consortium.

    更新日期:2009-08-01 00:00:00

  • How Views of the Organization of Primary Care Among Patients with Hypertension Vary by Race or Ethnicity.

    abstract:INTRODUCTION:We assessed potential racial or ethnic differences in the degree to which veterans with pharmaceutically treated hypertension report experiences with their primary care system that are consistent with optimal chronic illness care as suggested by Wagner's Chronic Care Model (CCM). MATERIALS AND METHODS:A c...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx111

    authors: Jackson GL,Stechuchak KM,Weinberger M,Bosworth HB,Coffman CJ,Kirshner MA,Edelman D

    更新日期:2018-09-01 00:00:00

  • More Than Just Torsion: An Unusual Case of Testicular Pain.

    abstract::Testicular pain has a wide differential and the nonspecific presentation should be triaged rapidly for urgent diagnosis and treatment. Scrotal pyoceles are uncommon collections of purulent fluid between the visceral and parietal tunica vaginalis, usually secondary to acute epididymo-orchitis, intra-abdominal infection...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz316

    authors: Martin CD,Sulava E,Bloom A

    更新日期:2020-06-08 00:00:00

  • Pregnancy during Operation Iraqi Freedom/Operation Enduring Freedom.

    abstract:OBJECTIVE:The purpose of this study was to evaluate pregnancy during war-time deployment. METHODS:A retrospective review of gynecology visits was evaluated at Camp Doha, Kuwait, from August 2003 through April 2004. Of the 1,737 visits, 77 demonstrated a positive pregnancy test. These charts were evaluated for factors ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.172.5.511

    authors: Albright TS,Gehrich AP,Wright J Jr,Lettieri CF,Dunlow SG,Buller JL

    更新日期:2007-05-01 00:00:00

  • Evaluation of HIV postexposure prophylaxis for occupational and nonoccupational exposures at a deployed U.S. military trauma hospital.

    abstract:OBJECTIVE:Postexposure prophylaxis (PEP) is an important strategy to prevent human immunodeficiency virus acquisition after occupational and nonoccupational exposures. Since exposures to blood and other body fluids commonly occur in a combat setting, it is important to evaluate PEP utilization in the deployed environme...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-12-00341

    authors: Okulicz JF,Murray CK

    更新日期:2012-12-01 00:00:00

  • Human immunodeficiency virus arteriopathy of the adult cerebral circulation.

    abstract::Arteriopathy associated with human immunodeficiency virus infection and clinical acquired immunodeficiency syndrome is well-documented. The pathophysiology of this arteriopathy may vary in different vascular beds. Although arteriopathy of central nervous system (CNS) circulation has been recognized in pediatric patien...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.172.6.647

    authors: Statler JD,Slaughter CR,Ronsivalle JA

    更新日期:2007-06-01 00:00:00

  • Early onset pneumonia following pulmonary contusion: the case of Stonewall Jackson.

    abstract::Confederate Lieutenant General Thomas J. "Stonewall" Jackson was wounded by his own men at the Battle of Chancellorsville during the American Civil War. While being removed from the field, Jackson fell from the litter and struck the right side of his chest on a large stone or stump. Four days following the amputation ...

    journal_title:Military medicine

    pub_type: 传,历史文章,杂志文章

    doi:10.7205/milmed-d-11-00272

    authors: Lively MW

    更新日期:2012-03-01 00:00:00

  • Initiating an ophthalmic laser program for VA outpatients.

    abstract::Administrative and clinical considerations for the establishment of an ophthalmic laser program at a VA Outpatient Clinic are discussed. Outcomes of the first 320 patients treated over a 3-year period of time are presented. The program is evaluated from the perspectives of patient care, safety, maintenance, education,...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Newcomb RD

    更新日期:1995-08-01 00:00:00

  • The validity of self-reported physical fitness test scores.

    abstract::Epidemiological studies often have to rely on a participant's self-reporting of information. The validity of the self-report instrument is an important consideration in any study. The purpose of this investigation was to determine the validity of self-reported Army Physical Fitness Test (APFT) scores. The APFT is admi...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.172.2.115

    authors: Jones SB,Knapik JJ,Sharp MA,Darakjy S,Jones BH

    更新日期:2007-02-01 00:00:00

  • Positive and negative health behaviors used to ensure compliance with the U.S. Army's weight control standards by a reserve component unit.

    abstract::This paper describes the results of a nonexperimental descriptive research study in which specific positive and negative health behaviors used by soldiers in a medical reserve unit to ensure compliance with the Army Weight Control standards were surveyed using a questionnaire. The findings of the survey, particularly ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Sweeney SS,Bonnabeau RC

    更新日期:1990-06-01 00:00:00

  • Long-Term Outcomes of Refractive Surgery Performed During the Military.

    abstract:INTRODUCTION:To evaluate the long-term refractive results of laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) performed by the military in a veteran population. MATERIALS AND METHODS:Three Department of Veterans Affairs (VA) hospital sites (Puget Sound, Buffalo, and Washington D.C.) obtained ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz096

    authors: Godiwalla RY,Magone MT,Kaupp SB,Jung H,Cason JB

    更新日期:2019-12-01 00:00:00

  • Variables affecting Army physical disability processing.

    abstract::This research identifies variables affecting the length of time to process a soldier through the U.S. Army Physical Disability Evaluation System (PDES). The subjects are 8,301 soldiers whose disability records were processed in fiscal year 1996. The dependent variable examined was the average number of days a soldier ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Coppola MN,Hudak RP,Bales JD

    更新日期:1998-07-01 00:00:00

  • Delay in improvement of ankle-arm index and ankle waveforms after lower-extremity revascularization.

    abstract::Ankle-arm index (AAI) and pulse volume recording (PVR) are commonly used in the early postoperative period to measure the outcome after lower-extremity revascularization. They are also used in addition to duplex scan for long-term follow-up of these patients. We noticed that in some patients the AAI and/or PVR after r...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Tripathi S,Farid A,Deshmukh N

    更新日期:1997-04-01 00:00:00

  • Motor vehicle crashes among active duty U.S. Army personnel, 1999 to 2006.

    abstract::In the U.S. Army, motor vehicle crashes (MVCs), both privately owned and military, are a leading cause of injury and death. Few studies have described the distribution and trends of MVCs among Army personnel, which may have been impacted by current military missions. This descriptive study of risk factors and select o...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-10-00482

    authors: Rossen LM,Pollack KM,Canham-Chervak M,Canada S,Baker SP

    更新日期:2011-09-01 00:00:00

  • Feasibility and Acceptability of a Brief Acupuncture Intervention for Service Members with Perceived Stress.

    abstract:INTRODUCTION:Given the role of perceived stress in disability and suicidality in the military, intervening early before service members become at risk for severe injuries, hospitalizations, and chronic disability could improve health outcomes. The purpose of this study was to explore the feasibility and acceptability o...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz132

    authors: Abanes J,Hiers C,Rhoten B,Dietrich MS,Ridner SH

    更新日期:2020-02-13 00:00:00

  • Early mental health intervention in combat situations: the USS Stark.

    abstract::The United States Army Europe Stress Management Team (USAREUR SMT) is designed to assist victims of hostage, terrorist, and disaster situations. Early intervention is intended to prevent the development of chronic posttraumatic stress disorder. This paper describes the operation of the SMT following the missile attack...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Sokol RJ

    更新日期:1989-08-01 00:00:00

  • Measurements of Infrasound Signatures From Grenade Blast During Training.

    abstract:INTRODUCTION:Military personnel during training and military operations are exposed to a large number of repeated exposures to low-level blast overpressure from a variety of sources. These exposures rarely produce a concussion, but anecdotal evidence from soldiers indicates that it can still cause transient neurologica...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa423

    authors: Medda A,Funk R,Ahuja K,Kamimori G

    更新日期:2021-01-25 00:00:00

  • The Impact of Aeroallergens on Military Readiness: A Case Report.

    abstract::Seasonal aeroallergens commonly cause allergic conjunctivitis, rhinorrhea, sinusitis, and cough in sensitized individuals. These clinical symptoms are the result of IgE-mediated type I hypersensitivity reactions, which trigger the degranulaton of mast cells and basophils. In contrast, aeroallergens are not common prec...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz106

    authors: Fajardo KA,Wohltmann WE

    更新日期:2019-12-01 00:00:00

  • Bystander cricothyroidotomy performed with an improvised airway.

    abstract:OBJECTIVE:We report a roadside cricothyroidotomy successfully performed with only a pocketknife and the drinking straw from a sports bottle. Our study compared the adequacy of standard medical airway devices with some readily available nonmedical items that might be used as temporary tracheostomy tubes (TT). METHODS:W...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Adams BD,Whitlock WL

    更新日期:2002-01-01 00:00:00

  • Adaptive and perceptual learning technologies in medical education and training.

    abstract::Recent advances in the learning sciences offer remarkable potential to improve medical education and maximize the benefits of emerging medical technologies. This article describes 2 major innovation areas in the learning sciences that apply to simulation and other aspects of medical learning: Perceptual learning (PL) ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00218

    authors: Kellman PJ

    更新日期:2013-10-01 00:00:00

  • Fat distribution: its physiological significance, health implications, and its adaptation to exercise training.

    abstract::Recently, fat distribution has become of clinical interest in assessing one's risk for coronary heart disease (CHD). Investigations have shown stronger relationships between abdominal, or central adiposity, and various well known risk factors for CHD, than peripheral and/or total adiposity. The simple waist-to-hip rat...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Vanderburgh PM

    更新日期:1992-04-01 00:00:00

  • Outcomes Following Multilevel Cervical Disc Arthroplasty in the Young Active Population.

    abstract:BACKGROUND:Cervical radiculopathy is a common disorder that portends significant morbidity. The presence of radiculopathy can have a debilitating effect on patients as well as a significant economic impact. Active duty military patients with increased physical occupational demands can be significantly impacted by cervi...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-16-00085

    authors: Zarkadis NJ,Cleveland AW,Kusnezov NA,Dunn JC,Caram PM,Herzog JP

    更新日期:2017-03-01 00:00:00

  • Effect of a nutrition intervention on intake of vegetables, fruits, and semi whole grain bread among low and high consumers in the Norwegian National Guard.

    abstract:BACKGROUND:Nutritional information seldom reaches individuals with the most unhealthful dietary habits. OBJECTIVE:To explore whether an intervention focusing on a combination of nutritional information and increased availability of vegetables, fruits, and semi whole grain bread was effective to raise the intake, and k...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00046

    authors: Uglem S,Råberg Kjøllesdal MK,Frølich W,Wandel M

    更新日期:2014-09-01 00:00:00

  • Dietary supplements in the Department of Defense: possible solutions to optimizing force readiness.

    abstract::Dietary supplement use is common among military service members; approximately 17 to 20% report using high-risk weight-loss, performance-enhancing, and bodybuilding supplements. To date, no overarching policy or program has been approved or implemented to inform service members or educate health care providers on the ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-12-00249

    authors: Gonsalves S,Stavinoha T,Hite L,Costa J,Dilly G,Deuster PA

    更新日期:2012-12-01 00:00:00